Financial Policy
Co-payments will be collected at the time of service
before your visit with the physician. Deductibles,
co-insurance and any unpaid balance will be collected at the
time of service. As a courtesy to you, we will
file your claim for you. If we do not participate with
your plan, payment is expected at the time of service.
We accept cash, checks, VISA and MasterCard.
If your insurance has not paid after sixty (60) days, it
becomes the patient’s responsibility. We ask that you
please follow-up with your insurance company and keep us
informed as to the status of your claim. If we may
assist with timely payment of your insurance claim, please
contact our Practice Manager.
There is a fee of $25.00 for any returned checks. Varying fees are charged for forms or letters that may be
requested.
Charges for copying medical records are based on the charges
set forth by the Georgia Office of Planning and Budget
pursuant to O.C.G.A. 31-33-3. In order to comply with
HIPPA regulations, a signed, written request for medical
records must be received along with payment before records
can be released.
If you are a Private Pay patient, payment will be expected
at the time of service unless other arrangements have been
made with our Practice Manager.
Statements will be mailed to you every thirty (30) days for
up to 90-150 days. One collection letter will be
mailed to you after the last statement. Unpaid
accounts may be referred to a collection agency if not paid
within 180 days from the date of service.
We will be happy to talk with you about your insurance
coverage or other financial matters related to your care.
October 1, 2007